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1750651113
MICHAEL PETERSON
WEST HOLLYWOOD, CA
NPI
1750651113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 20727)
Enumeration Date
2012-01-03
Last Update Date
2012-01-03
Business Address
Mr. MICHAEL PETERSON LCSW
1400 N HAYWORTH AVE APT 9
WEST HOLLYWOOD, CA 90046-3836
Phone number: 310-498-2632
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Mailing Address
Mr. MICHAEL PETERSON LCSW
1400 N HAYWORTH AVE APT 9
WEST HOLLYWOOD, CA 90046-3836
Phone number: 310-498-2632
Copy
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